Individual provider Active NPI

Matthew St. Aimee, PT

  • Orthopedic Physical Therapist
  • Palmetto Bay, FL
National Provider Identifier
1811034523
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT18168 Issued in FL
Practice address
9555 SW 175TH Ter Ste 233
Palmetto Bay, FL 33157-5604
Phone
(786) 581-8889
Fax
(786) 581-8894
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT18168 FL
Orthopedic Physical Therapist 2251X0800X PT18168 FL Primary

Addresses

Primary practice location

9555 SW 175TH Ter Ste 233
Palmetto Bay, FL 33157-5604

Mailing address

2209 SE 25TH Ave
Homestead, FL 33035-1354
Phone (786) 247-4630

Other identifiers 1

IdentifierTypeStateIssuer
E8514OtherFLBCBS FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000193 FL Practitioner - Physical Therapist in Private Practice 6800840067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9555 SW 175TH Ter
Palmetto Bay, FL 33157-5604
Phone (786) 581-8889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT18168FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Industry Designs, Corp CurrentSince May 1, 2017 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients
Physical Therapy at Doral ,LLC PastSince Dec 15, 2009 Accepting new patients
Therapeutic Specialists LLC Physical Therapist PastSince May 21, 2012 Accepting new patients

Locations

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

9555 SW 175th Ter
Palmetto Bay, FL 33157
Phone (305) 904-0875

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1811034523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 SE 25TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330351354",
            "telephone_number": "786-247-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW 175TH TER STE 233",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575604",
            "telephone_number": "786-581-8889",
            "fax_number": "786-581-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. AIMEE",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18168",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT18168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "E8514",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.